Question 1

Which type of chemical solution is made of catalysts that aid in breaking down proteinaceous debris such as blood and fat?

Accepted Answer

A)  antiseptic 
B)  disinfectant 
C)  emulsifier 
D)  enzymatic 
A)  antiseptic 
B)  disinfectant 
C)  emulsifier 
D)  enzymatic

Question 2

What is the common name for the high-level disinfectant sodium hypochlorite?

Accepted Answer

A)  ammonia 
B)  bleach 
C)  peroxide 
D)  vinegar 
A)  ammonia 
B)  bleach 
C)  peroxide 
D)  vinegar

Question 3

What is the weight that AAMI has recommended instrument sets should NOT exceed?

Accepted Answer

A)  10 pounds 
B)  15 pounds 
C)  20 pounds 
D)  25 pounds 
A)  10 pounds 
B)  15 pounds 
C)  20 pounds 
D)  25 pounds

Question 4

Match each term below with its description.
-Classification of parasites such as cysticerci (pork tapeworms) that can create lesions in the brain and soft tissues, which require surgical removal

Accepted Answer

A) Prions 
B) Helminths 
C) Spores 
D) Prokaryotes 
E) Helicobacter pylori
F)Zygomycosis
G)Viruses
H)Clostridium perfringens
I)Flagella
J)Staphylococcus aureus 
A) Prions 
B) Helminths 
C) Spores 
D) Prokaryotes 
E) Helicobacter pylori
F)Zygomycosis
G)Viruses
H)Clostridium perfringens
I)Flagella
J)Staphylococcus aureus

Question 5

Match each term below with its description.
-Anaerobic gram-positive bacteria responsible for gas gangrene, cellulitis, and fasciitis

Accepted Answer

A) Prions 
B) Helminths 
C) Spores 
D) Prokaryotes 
E) Helicobacter pylori
F)Zygomycosis
G)Viruses
H)Clostridium perfringens
I)Flagella
J)Staphylococcus aureus 
A) Prions 
B) Helminths 
C) Spores 
D) Prokaryotes 
E) Helicobacter pylori
F)Zygomycosis
G)Viruses
H)Clostridium perfringens
I)Flagella
J)Staphylococcus aureus

Question 6

Match each term below with its description.
-Aerobic, gram-negative bacilli responsible for many gastric ulcers

Accepted Answer

A) Prions 
B) Helminths 
C) Spores 
D) Prokaryotes 
E) Helicobacter pylori
F)Zygomycosis
G)Viruses
H)Clostridium perfringens
I)Flagella
J)Staphylococcus aureus 
A) Prions 
B) Helminths 
C) Spores 
D) Prokaryotes 
E) Helicobacter pylori
F)Zygomycosis
G)Viruses
H)Clostridium perfringens
I)Flagella
J)Staphylococcus aureus

Question 7

Internal chemical indicator/integrators should be placed in the center or most challenging portion of a tray for the sterilant to reach.

Accepted Answer

A) True 
 B)False

Question 8

Which of the following diseases is NOT a form of transmissible spongiform encephalopathy?

Accepted Answer

A)  Creutzfeldt-Jakob 
B)  mad cow 
C)  scrapie 
D)  toxic shock 
A)  Creutzfeldt-Jakob 
B)  mad cow 
C)  scrapie 
D)  toxic shock

Question 9

Which part of the instrument reprocessing cycle is performed intraoperatively?

Accepted Answer

A)  mechanical decontamination 
B)  steam sterilization 
C)  ultrasonic washer 
D)  wiping with sterile water 
A)  mechanical decontamination 
B)  steam sterilization 
C)  ultrasonic washer 
D)  wiping with sterile water

Question 10

Match each term below with its description.
-Long, thin structure attached to the outside of a cell; motility achieved by whipping motion

Accepted Answer

A) Prions 
B) Helminths 
C) Spores 
D) Prokaryotes 
E) Helicobacter pylori
F)Zygomycosis
G)Viruses
H)Clostridium perfringens
I)Flagella
J)Staphylococcus aureus 
A) Prions 
B) Helminths 
C) Spores 
D) Prokaryotes 
E) Helicobacter pylori
F)Zygomycosis
G)Viruses
H)Clostridium perfringens
I)Flagella
J)Staphylococcus aureus

Question 11

Which of the following statements regarding peracetic acid sterilized items is CORRECT?

Accepted Answer

A)  Paper filters in the top lid and bottom of container must be changed for each cycle. 
B)  Items must be wrapped with Tyvek wrappers instead of cellulose-based wrappers. 
C)  Cassettes are not sealed, due to liquid immersion during the process, so they cannot be stored. 
D)  Aeration times will add hours to the total sterilization cycle time. 
A)  Paper filters in the top lid and bottom of container must be changed for each cycle. 
B)  Items must be wrapped with Tyvek wrappers instead of cellulose-based wrappers. 
C)  Cassettes are not sealed, due to liquid immersion during the process, so they cannot be stored. 
D)  Aeration times will add hours to the total sterilization cycle time.

Question 12

Why are items disinfected or sterilized in activated glutaraldehyde dried prior to submersion?

Accepted Answer

A)  Moisture will prevent sterilant from reaching all surfaces. 
B)  Moisture will create a toxic chemical reaction with sterilant. 
C)  Moisture will cause air bubbles to form and prevent full contact. 
D)  Moisture will eventually dilute the concentration to ineffective levels. 
A)  Moisture will prevent sterilant from reaching all surfaces. 
B)  Moisture will create a toxic chemical reaction with sterilant. 
C)  Moisture will cause air bubbles to form and prevent full contact. 
D)  Moisture will eventually dilute the concentration to ineffective levels.

Question 13

The Bowie-Dick test is performed for which sterilization method?

Accepted Answer

A)  ethylene oxide gas 
B)  activated glutaraldehyde 
C)  hydrogen peroxide gas plasma 
D)  prevacuum air removal steam 
A)  ethylene oxide gas 
B)  activated glutaraldehyde 
C)  hydrogen peroxide gas plasma 
D)  prevacuum air removal steam

Question 14

All of the following are environmental specifications for the decontamination room in CSPD EXCEPT:

Accepted Answer

A)  air exchange rate, minimum of 10 per hour 
B)  humidity between 35% and 72% 
C)  positive air pressure maintained 
D)  temperature between 64°F and 70°F 
A)  air exchange rate, minimum of 10 per hour 
B)  humidity between 35% and 72% 
C)  positive air pressure maintained 
D)  temperature between 64°F and 70°F

Question 15

A nonsterile person should approach a sterile area face forward while maintaining a distance of:

Accepted Answer

A)  6 inches 
B)  12 inches 
C)  2 feet 
D)  6 feet 
A)  6 inches 
B)  12 inches 
C)  2 feet 
D)  6 feet

Question 16

Which of the following would be appropriate for soaking instruments covered with bioburden during a surgical procedure?

Accepted Answer

A)  isopropyl alcohol 
B)  peracetic acid 
C)  sterile saline 
D)  sterile water 
A)  isopropyl alcohol 
B)  peracetic acid 
C)  sterile saline 
D)  sterile water

Question 17

Which of the following should NEVER be processed by immediate-use (flash) sterilization methods?

Accepted Answer

A)  ebonized laser instruments 
B)  implantable devices 
C)  stainless steel suction tips 
D)  titanium microinstrumentation 
A)  ebonized laser instruments 
B)  implantable devices 
C)  stainless steel suction tips 
D)  titanium microinstrumentation

Question 18

Which method of sterilization uses gamma rays or beta particles and is chiefly used by large manufacturing companies?

Accepted Answer

A)  dry heat 
B)  ethylene oxide 
C)  hydrogen peroxide gas plasma 
D)  ionizing radiation 
A)  dry heat 
B)  ethylene oxide 
C)  hydrogen peroxide gas plasma 
D)  ionizing radiation

Question 19

Which term means the number of microbes or amount of organic debris on an object at any given time?

Accepted Answer

A)  asepsis 
B)  bioburden 
C)  infection 
D)  sepsis 
A)  asepsis 
B)  bioburden 
C)  infection 
D)  sepsis

Question 20

What is the term for the process of lubricating stiffened stainless steel surgical instruments by immersion in a water-soluble solution?

Accepted Answer

A)  bathing 
B)  dunking 
C)  greasing 
D)  milking 
A)  bathing 
B)  dunking 
C)  greasing 
D)  milking

Exam 7: Preventing Perioperative Disease and Transmission

Which type of chemical solution is made of catalysts that aid in breaking down proteinaceous debris such as blood and fat?

What is the common name for the high-level disinfectant sodium hypochlorite?

What is the weight that AAMI has recommended instrument sets should NOT exceed?

Match each term below with its description. -Classification of parasites such as cysticerci (pork tapeworms) that can create lesions in the brain and soft tissues, which require surgical removal

Match each term below with its description. -Anaerobic gram-positive bacteria responsible for gas gangrene, cellulitis, and fasciitis

Match each term below with its description. -Aerobic, gram-negative bacilli responsible for many gastric ulcers

Internal chemical indicator/integrators should be placed in the center or most challenging portion of a tray for the sterilant to reach.

Which of the following diseases is NOT a form of transmissible spongiform encephalopathy?

Which part of the instrument reprocessing cycle is performed intraoperatively?

Match each term below with its description. -Long, thin structure attached to the outside of a cell; motility achieved by whipping motion

Which of the following statements regarding peracetic acid sterilized items is CORRECT?

Why are items disinfected or sterilized in activated glutaraldehyde dried prior to submersion?

The Bowie-Dick test is performed for which sterilization method?

All of the following are environmental specifications for the decontamination room in CSPD EXCEPT:

A nonsterile person should approach a sterile area face forward while maintaining a distance of:

Which of the following would be appropriate for soaking instruments covered with bioburden during a surgical procedure?

Which of the following should NEVER be processed by immediate-use (flash) sterilization methods?

Which method of sterilization uses gamma rays or beta particles and is chiefly used by large manufacturing companies?

Which term means the number of microbes or amount of organic debris on an object at any given time?

What is the term for the process of lubricating stiffened stainless steel surgical instruments by immersion in a water-soluble solution?

Orientation to Surgical Technology

Legal Concepts, Risk Management, and Ethical Issues

The Surgical Patient

Special Populations

Physical Environment and Safety Standards

Biomedical Science

Emergency Situations and All-Hazards Preparation

Surgical Pharmacology and Anesthesia

Instrumentation, Equipment, and Supplies

Hemostasis, Wound Healing, and Wound Closure

Surgical Case Management

Diagnostic Procedures

General Surgery

Obstetric and Gynecologic Surgery

Ophthalmic Surgery

Otorhinolaryngologic Surgery

Oral and Maxillofacial Surgery

Plastic and Reconstructive Surgery

Genitourinary Surgery

Orthopedic Surgery

Cardiothoracic Surgery

Peripheral Vascular Surgery

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